Peakform Chiropractic & Rehab LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

PEAKFORM CHIROPRACTIC & REHAB LLC

Practice address

575 Commercial St
Eagle Pass, TX 78852-4211

Phone

(830) 776-1289

Fax

(830) 215-4893

NPI assigned

Nov 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Raphael Sandoval, DCNPI 1942062450

Title

Owner

Phone

(830) 294-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Raphael Sandoval, DC

  • Rehabilitation Chiropractor
  • Eagle Pass, TX
  • NPI 1942062450
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1093538993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COMMERCIAL ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524211",
            "telephone_number": "830-872-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COMMERCIAL ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524211",
            "telephone_number": "830-776-1289",
            "fax_number": "830-215-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKFORM CHIROPRACTIC & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-294-8111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiyevbekpen Omo-Okhuasuyi
• Jessele R Ortiz, M.A. CCC-SLP, CBIS
• Sebastian Padron, MD
• Brenda J Paris, MD
• Patient Solutions LLC
• Pediatric Specialty Rural Health Clinic
• Pediatric Specialty Rural Health Clinic, LTD.
• Pediatric Specialty Rural Health Clinic,LTD
• Luis Enrique Perales
• Rosa I Perez, F.N.P.

• Rehabilitation Chiropractor in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.